CQC report explained · a residential care home
What the CQC found at Naseby Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2021
Inspected but not rated; inspectors found good infection-control arrangements, with some further resources signposted.
This was an announced, targeted inspection on 22 January 2021. It focused on infection prevention and control during the coronavirus pandemic, rather than the home’s overall quality.
Inspectors found that visiting, testing, personal protective equipment, cleaning, social distancing and admission arrangements were being managed safely. People and families were kept informed about visiting, testing and vaccines.
The home was inspected but not rated. This report does not give an overall quality rating or ratings for most of the five areas CQC normally considers.
Safe visiting
Visits were arranged by appointment. Visitors had a rapid Covid-19 test on arrival, and the home used screening and a separate entrance.
“Visiting was by appointment and safeguards included a rapid Covid-19 test being completed on arrival to ensure visitors had a negative test result.” from the report
Clean premises
The premises and equipment were visibly clean. Flooring had been replaced in communal areas to make cleaning more effective.
“The premises and equipment were visibly clean.” from the report
PPE and testing
PPE was available in good supply. People and staff were tested regularly, and staff had infection-control training.
“PPE was available throughout the home and in good supply.” from the report
Activities and family contact
Daily activities took place in communal areas and residents’ rooms. Technology was used to help people stay in touch with family and friends.
“Social activities took place each day both in the communal lounge and in people's rooms.” from the report
Further development needed
minorThe CQC signposted the provider to resources to develop its approach. The report does not say exactly what needed improvement.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What parts of your infection-control approach did the CQC ask you to develop further?
- 02What are your current arrangements for visits, including testing and screening?
- 03How do you now manage admissions and any required period of self-isolation?
- 04How often are residents and staff tested, and what happens if someone tests positive?
- 05How will you support regular activities and contact with family members?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 12 February 2021 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, July 2018
Rated Good; inspectors found safe, kind and personalised care, with some improvements still needed to dementia-friendly access and recording actions.
Inspectors visited on 24 and 25 May 2018. The first day was unannounced and the second was announced. They spoke with people living in the home, relatives, staff and health professionals. They also checked care files, medicines records, staff files, complaints, audits and the building.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that medicines, staffing, risk management and infection control had improved and were being managed safely.
People were described as receiving kind and respectful care. Staff supported people's choices, health needs, activities and communication. Care plans were personalised and reviewed regularly.
There were still some limitations. Signage and access to the gardens did not always help people living with dementia move around independently. Some information and audit records were incomplete, and staff did not have a separate break area.
Safe care and medicines
Inspectors found that staff understood safeguarding and risk management. Medicines were ordered, stored, given and recorded safely.
“People had their medicines ordered, stored, administered and recorded safely.” from the report
Kind and respectful staff
People and relatives spoke positively about staff. Inspectors saw patience, empathy, emotional support and respect for privacy.
“People and their families spoke positively about the caring nature of the staff team.” from the report
Personalised care
Care plans reflected people's needs, choices, cultural and religious requirements. Staff knew how to respond when people's needs changed.
“The plans contained information about people's assessed needs and reflected their choices about how they wished to live their lives.” from the report
Activities and community links
The home offered group activities, individual time and links with schools, churches and the local community.
“People had opportunities to join in group activities, spend one to one time with staff and access the local community.” from the report
Open management
The manager worked alongside staff and encouraged them to raise concerns and share ideas. Audits identified areas needing improvement.
“The registered manager provided visible support to the staff team and worked alongside staff providing leadership.” from the report
Dementia-friendly access
needs fixingSome signs and the building layout did not make it easy for people living with dementia to find their way around independently. The garden could only be reached with staff support at the time of inspection.
“The signage and building layout didn't always provide opportunities for some people living with a dementia to orientate themselves around the property and gardens independently.” from the report
Incomplete transfer information
needs fixingAn emergency information form did not include all risks, including pressure care and dietary needs. The home was working towards using the Red Bag Scheme.
“The form hadn't included details of all the risks people lived with such as pressure care or dietary requirements.” from the report
Audit records
minorThe home completed actions identified by its audits, but did not always record the actions or their outcomes. The manager said this would be included in future audits.
“We saw that actions identified had been completed but actions and outcomes had not been recorded.” from the report
Staff break space
minorStaff did not have a dedicated area to take breaks. The manager said options would be discussed with the provider.
“Although staff told us they felt supported and appreciated in their roles, they did not have an area in the home where they could take time out for a break.” from the report
Life history information
minorThere was limited information about some people's past interests and hobbies. The home had started gathering life histories with help from families.
“Limited information had been gathered about people's past interests and hobbies but Naseby Care Home had begun completing life histories for people with help from families.” from the report
- 01Have the planned landscaping works been completed so people living with dementia can access the gardens more independently?
- 02What changes have been made to bedroom signs and other signs around the home?
- 03How are all pressure care, dietary and other risks recorded when someone is transferred to hospital or another service?
- 04How are audit actions and their outcomes now recorded and checked?
- 05How are staff able to take proper breaks without a dedicated staff room?
This was a comprehensive inspection covering all five questions, with the Safe rating improved to Good and the other ratings remaining Good. This explanation was written from the published report of 11 July 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Naseby Care Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 3 April 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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